Responsive feeding education for parents with stunting babies aged 12-36 months


Mail Google Scholar Orcid Irne Wida Desiyanti(1*)
Mail Rakhmawati Agustina(2)

(1) Universitas Muhammadiyah Manado, Indonesia
(2) Universitas Muhammadiyah Manado, Indonesia
(*) Corresponding Author
10.31101/jhtam.2446| Abstract views : 321 | PDF views : 122


Background of Study: North Sulawesi Province becomes a province which has 31.4% of stunting cases. North Minahasa Regence becomes one of stunting local areas which are intervened in order to occur reduction cases which currently amounted to 29.7%. One of factors which affect stunting are mother’s knowledge which influence feeding practices. Responsive feeding is feeding practices which is recommended by WHO conducted with psychosocial approach. Responsive feeding effects on physical and mental development of babies. Mothers who live in stunting-prone area have lower responsive feeding knowledge and practice than those in non-stunting areas.

Purpose of Study: for investigating the effect of feeding education with the concept of responsive feeding on the knowledge and practice of eating on stunting babies aged 12-36 months.

Method of Study:  This study was quantitative study with experimental quasi approach. The study was conducted in Wori District, there were 11 people in case group and 7 people in control group. The respondent criteria were mothers who had stunting toddler aged 12-36 months and were not experiencing mental health. The analysis in this study used univariate and bivariate test. Pretest was provided before education was provided and post test was conducted 2 weeks after education.

Result: Univariate test which is used is chi-square test and bivariate analysis is conducted through Independent Sample T-test. The finding of this study showed that there is enhancement of knowledge on case group after responsive feeding education is given however there is no enhancement in attitude. While in control group does not experience an enhancement both knowledge and attitude after education is given.

Conclusion: Providing responsive feeding education can enhance mother’s knowledge about good feeding on stunting babies although it requires education for more than 2 weeks for increasing mother’s attitude in feeding of stunting babies.


Stunting; Responsive Feeding; Weaning Food; Education; Case Control;

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Abebe, Haki, & Baye. (2017). Child feeding style is associated with food intake and linear growth in rural Ethiopia. Appetite, 116(1), 132–138. https://doi.org/10.1016/j.appet.2017.04.033

Aboud, Shafique, & Akhter. (2009). A responsive feeding intervention increases children’s self-feeding and maternal responsiveness but not weight gain. Journal of Nutrition, 139(9), 1738–1743. https://doi.org/10.3945/jn.109.104885

Berge, Rowley, Trofholz, Hanson, Rueter, MacLehose, & Neumark-Sztainer. (2014). Childhood obesity and interpersonal dynamics during family meals. Pediatrics, 134(5), 923–932. https://doi.org/10.1542/peds.2014-1936

Berhe, Legese, Gebrewahd, Gebremariam, Tesfay, Kahsu, Negash, & Adhanom. (2019). Prevalence Of Anemia And Associated Factors Among Pregnant Women In Adigrat General Hospital, Tigrai, Northern Ethiopia, 2018. Bmc Research Notes, 12(1), 310. https://doi.org/10.1186/S13104-019-4347-4

Briend, Khara, & Dolan. (2015). Wasting and stunting-similarities and differences: Policy and programmatic implications. Food and Nutrition Bulletin, 36(1), S15–S23. https://doi.org/10.1177/15648265150361S103

Dranesia, Wanda, & Hayati. (2019). Pressure to eat is the most determinant factor of stunting in children under 5 years of age in Kerinci region, Indonesia. Enfermeria Clinica, 10(1), 10–20. https://doi.org/10.1016/j.enfcli.2019.04.013

Fahmida, Kolopaking, Santika, Sriani, Umar, Htet, & Ferguson. (2015). Effectiveness in improving knowledge, practices, and intakes of “key problem nutrients” of a complementary feeding intervention developed by using linear programming: Experience in Lombok, Indonesia. American Journal of Clinical Nutrition, 101(3), 455–461. https://doi.org/10.3945/ajcn.114.087775

Fallon, Halloran, Gorman, Ward, Greene, & Tovar. (2018). Self-reported and observed feeding practices of Rhode Island Head Start teachers: Knowing what not to do. Appetite, 120(1), 310–317. https://doi.org/10.1016/j.appet.2017.09.009

Gebeyehu, M. B., Mekuria, A. B., Tefera, Y. G., Andarge, D. A., Debay, Y. B., Bejiga, G. S., & Gebresillassie, B. M. (2017). Prevalence, Impact, and Management Practice of Dysmenorrhea among University of Gondar Students, Northwestern Ethiopia: A Cross-Sectional Study. International Journal of Reproductive Medicine, 2017, 1–8. https://doi.org/10.1155/2017/3208276

Gosdin, Martorell, Bartolini, Mehta, Srikantiah, & Young. (2018). The co‐occurrence of anaemia and stunting in young children. Maternal & Child Nutrition, 14(3). https://doi.org/10.1111/mcn.12597

Imdad, Yakoob, & Bhutta. (2011). Impact of maternal education about complementary feeding and provision of complementary foods on child growth in developing countries. BMC Public Health, 11(3), S25--S25.

Kanasih. (2019). Potensi Responsive Feeding Dan Asupan Makronutrien Terhadap Kejadian Stunting Pada Etnik Muna Di Batalaiworu, Sulawesi Tenggara. Buletin Penelitian Sistem Kesehatan, 26–37.

Kang, Y., Aguayo, M., V., Campbell, R. K., & West, K. P. (2018). Association between stunting and early childhood development among children aged 36–59 months in South Asia. Maternal & Child Nutrition. 14(4). https://doi.org/10.1111/mcn.12684

Kavurma, Bayram, Özbek, & Hız. (2018). ‘My Child Doesn’t Eat!’; Parental Feeding Strategies, Parental Attitudes and Family Functioning of Children with Poor Appetite. The Journal of Basic and Clinical Health Sciences, February, 1(1). https://doi.org/10.30621/jbachs.2018.275

Lukman. (2021). Responsive Prediction Model of Stunting in Toddlers in Indonesia. Nutrition and Food Science Journal, 10(1).

Mistry, Hossain, & Arora. (2019). Maternal nutrition counselling is associated with reduced stunting prevalence and improved feeding practices in early childhood: A post-program comparison study. Nutrition Journal, 18(1), 1–9. https://doi.org/10.1186/s12937-019-0473-z

Negash, Belachew, Henry, Kebebu, Abegaz, & Whiting. (2014). Nutrition education and introduction of broad bean-based complementary food improves knowledge and dietary practices of caregivers and nutritional status of their young children in Hula, Ethiopia. Food and Nutrition Bulletin, 35(4), 480–486. https://doi.org/10.1177/156482651403500409

Ngaisyah, & Avianty. (2020). The Implementation of Complimentary Food on Stunted Children. Muhammadiyah Medical Journal, 1(1), 1. https://doi.org/10.24853/mmj.1.1.1-9

Novitasari, & Wanda. (2020). Maternal feeding practice and its relationship with stunting in children. Pediatric Reports, 12(1). https://doi.org/10.4081/pr.2020.8698

Omaghomi, Jemide, Nkechi, Ene-Obong, Edet, E., Udoh, E., & Jemide, J. O. (2016). Association of maternal nutrition knowledge and child feeding practices with nutritional status of children in Calabar South Local Government Area, Cross River State, Nigeria. ~ 293 ~. International Journal of Home Science, 2(1), 293–298.

Onis, & Branca. (2016). Childhood stunting: A global perspective. Maternal and Child Nutrition, 12(1), 12–26. https://doi.org/10.1111/mcn.12231

Prendergast, A. J., Humphrey, J. H. (2014). The stunting syndrome in developing countries. Paediatrics and International Child Health. 34(4), 250–265. https://doi.org/10.1179/2046905514Y.0000000158

Ratna Ningsih, F. F. (2019). Hemoglobin concentration is correlated with Low Birth Weight Babies (LBWB). Journal of Health Technology Assessment in Midwifery, 2(2).

Riskesdas. (2018). (RISKESDAS)Mathematical and Theoretical. Journal of Physics A: Mathematical and Theoretical, 44(8), 1–200. https://doi.org/10.1088/1751-8113/44/8/085201

Said-Mohamed, Micklesfield, Pettifor, & Norris. (2015). Has the prevalence of stunting in South African children changed in 40 years? A systematic review. BMC Public Health, 15(1). https://doi.org/10.1186/s12889-015-1844-9

Sartika, R., Ismail, D., & Rosyida, L. (2021). Factors that affect cognitive and mental emotional development of children: a scoping review. Journal of Health Technology Assessment in Midwifery, 4(1), 1–6.

Shilugu, & Sunguya. (2019). Stunting in the Context of Plenty: Unprecedented Magnitudes Among Children of Peasant’s Households in Bukombe, Tanzania. Frontiers in Nutrition, 6(1). https://doi.org/10.3389/fnut.2019.00168

Torlesse, Cronin, Sebayang, & Nandy. (2016). Determinants of stunting in Indonesian children: Evidence from a cross-sectional survey indicate a prominent role for the water, sanitation and hygiene sector in stunting reduction. BMC Public Health, 16(1), 1–12. https://doi.org/10.1186/s12889-016-3339-8

Tovar, Vaughn, Fallon, Hennessy, Burney, Ostbye, & Ward. (2016). Providers’ response to child eating behaviors: A direct observation study. Appetite, 105(1), 534–541. https://doi.org/10.1016/j.appet.2016.06.020

UNICEF, & WHO. (2020). Levels and trends in child malnutrition. Jme-2020-Edition, 24(2), 51–78. https://doi.org/10.18356/6ef1e09a-en

Vaivada, Akseer, Akseer, Somaskandan, Stefopulos, & Bhutta. (2020). Stunting in childhood: An overview of global burden, trends, determinants, and drivers of decline. The American Journal of Clinical Nutrition, 12(2), 72–79. https://doi.org/10.1093/ajcn/nqaa159

WHO. (2013). Childhood Stunting: Context, Causes and Consequences WHO Conceptual Framework. https://www.who.int/Nutrition/Events/2013_ChildhoodStunting_colloquium_14Oct_ConceptualFramework_colour.Pdf.

WHO. (2016). WHO | Health systems. http://www.who.int/topics/health_systems/en

DOI: https://doi.org/10.31101/jhtam.2446

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